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Home > Audio Learning Center > Effectively Responding to an Audit

Effectively Responding to an Audit

Date:Thursday, October 18, 2018
Time:12 noon to 1:00 p.m. Central Time
Course fee:SPECIAL $99 1 HR WEBINAR
Presented by: Regina Mixon Bates, IRO, CPC, CPC-I, CMC, CMOM, CMIS, TPA

Webinar/Audio Conference FAQs

The pressure to reduce the cost of healthcare combined with the success of recent audits in returning billions of dollars to government and private payers has led to ever-increasing audit scrutiny of medical providers. Will you be ready when they knock on your door? This session covers the essential steps for preparing and responding to an audit.

An audit can be burdensome to the physician practice, sometimes resulting in demands for repayment, penalties, fines, or even jail time. Extrapolation is commonly used by payers, who use a variety of formulas to calculate an amount based on a review of only a sample of your records and exponentially raises the value of alleged overpayments. Take a proactive approach and find out how to mitigate the risk of adverse outcomes. Don't take false comfort in the codes applied by your EHR. Conduct random audits of your coding and billing practices to ensure compliance with CPT®, other coding rules and relevant medical policies of payers. If you identify a problem, take immediate steps to address it.

Accurate and clear charting is the key to ensuring your practice will withstand an audit. Do you regularly review Medicare’s Comprehensive Error Rate Testing (CERT) report? Payers know whether a practice’s coding and documentation is consistent with its peers and in line with clinical standards. Know where your practice stands. Become equipped to effectively respond when faced with a request for medical records or an audit letter. Know how much time you have to respond to the request and when to seek an extension. Failure to respond can result in payment denial for the claim or recoupment pending appeal.

Join expert Regina Mixon Bates, an approved OIG IRO (Independent Review Organization), and learn how to best respond and protect your practice in the event of an audit. This session will provide clear guidance on reviewing current practices and addressing problematic areas. Triggers to avoid will be identified. The Instructor will provide resources to help improve compliance in your practice.

Highlights

  • The purpose of an audit
  • Who can audit you?
  • How to prepare for an audit
  • What are the auditors looking for?
  • How to respond to an audit letter
  • Guidance on proper documentation practices
  • Steps to assure compliant billing practices

Continuing Education Units (CEUs)

PMI CEU APPROVED Earn 1 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).

If you are seeking CEU credits for other certifications or organizations, please contact your organization for pre-approval and credit guidelines. A certificate of attendance will be provided.


Please read below before completing your webinar registration.

Have you heard about PMI's TOTAL ACCESS Webinar subscription program? TOTAL ACCESS puts a full library of training in the hands of your entire staff for a monthly fee of just $249. TOTAL ACCESS is the newest way to develop your own talent, without leaving the office to attend training classes. It's also the fastest way to bring both experienced and new staff up-to-date on current issues.

Sign up now and you'll receive this webinar plus the following benefits for as long as you subscribe: access codes to all upcoming live webinars and unlimited access to the TOTAL ACCESS Library, more than 300 hours of on-demand, pre-recorded training sessions on over 100 topics relevant to medical office coding, billing, compliance, management, front desk, and much more. It's a GREAT VALUE!

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About the Presenter

Regina Mixon Bates has 33 years of healthcare experience with 20+ years as a public speaker. She is the CEO of The Physician Practice S.O.S. Group®, a healthcare consulting and educational firm. Through Regina’s leadership, the company has helped healthcare providers across the country streamline their business processes, improve practice operations and keep current with the ever-changing state and federal compliance guidelines. She leads a team of award winning professionals who provide extensive quantitative analysis that generates comprehensive reports to help identify the practice problem areas, as well as opportunities for expansion. She is the host of Fix My Practice TV and the author of her upcoming book Against the Odds - How A Mother’s Spirit Gives A Daughter The Determination To Prevail.



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